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� ' CITY OF ORONO PERMIT NO.: 2011-00560 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE IssuEn: 06/30/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1379 PARK DR <br /> PIN : 07-117-23-42-0038 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 24,474.00 <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 12.24 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 <br /> (612)861-7000 TOTAL 427.24 <br /> Minnesota State License#: 20593656 PAID WITH CC# 1521 <br /> OWNER <br /> BURGER, CHRIS&MARY <br /> 1379 PARK DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for du cause. <br /> � .! �� � � �.�� � � ���� <br /> Applicant Permitee S�gnature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />